Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
NE Radiology Temple
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization
Contact information
Practice address
7604 CENTRAL AVE, PHILADELPHIA, PA 19111-2433
(215) 969-9103
(215) 969-1003
Mailing address
2450 W HUNTING PARK AVE, 3/208, PHILADELPHIA, PA 19129-1302
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130687
—
PA
Enumeration date
10/12/2005
Last updated
03/19/2012
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